Organization
SOVEREIGN REHABILITATION OF IL, LLC
Active
Other names
Sovereign Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN LAWRENCE (DIRECTOR OF OPERATIONS)
(773) 755-7566
Entity
Organization
Contact information
Practice address
1315 MACOM DR, SUITE 103, NAPERVILLE, IL 60564-9358
(630) 585-7337
(630) 585-7333
Mailing address
1315 MACOM DR, SUITE 103, NAPERVILLE, IL 60564-9358
(630) 585-7337
(630) 585-7333
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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